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@article{1173811,
author = {Jakl, Martin and Stasek, Josef and Kala, Petr and Rokyta, Richard and Kaňovský, Jan and Ondrúš, Tomáš and Hromadka, Milan and Widimsky, Petr},
article_location = {PO BOX 12 POSTHUSET, NO-0051 OSLO, NORWA},
article_number = {1},
doi = {http://dx.doi.org/10.3109/14017431.2013.865074},
keywords = {cardiogenic shock; coronary angiography; electrocardiography; mortality; myocardial infarction; percutaneous coronary intervention},
language = {eng},
issn = {1401-7431},
journal = {SCANDINAVIAN CARDIOVASCULAR JOURNAL},
title = {Acute myocardial infarction complicated by shock: outcome analysis based on initial electrocardiogram},
volume = {48},
year = {2014}
}
TY - JOUR
ID - 1173811
AU - Jakl, Martin - Stasek, Josef - Kala, Petr - Rokyta, Richard - Kaňovský, Jan - Ondrúš, Tomáš - Hromadka, Milan - Widimsky, Petr
PY - 2014
TI - Acute myocardial infarction complicated by shock: outcome analysis based on initial electrocardiogram
JF - SCANDINAVIAN CARDIOVASCULAR JOURNAL
VL - 48
IS - 1
SP - 13-19
EP - 13-19
PB - TAYLOR & FRANCIS AS
SN - 14017431
KW - cardiogenic shock
KW - coronary angiography
KW - electrocardiography
KW - mortality
KW - myocardial infarction
KW - percutaneous coronary intervention
N2 - Objectives. To assess the relation between initial ECG findings, presence of risk factors, coronary angiography findings, and clinical outcomes in patients with acute myocardial infarction complicated by cardiogenic shock (CS). Design. Data from a total of 5572 acute myocardial infarction patients admitted to the four tertiary hospitals during a period of 3 years were analyzed. CS on admission was present in 358 patients (6.4%). They were divided into four groups based on the admission ECG: ST-segment elevation (STEMI), ST-segment depression (STDMI), bundle branch block (BBBMI), and other ECG acute myocardial infarction. Results. CS developed most frequently among BBBMI patients (in 12.1% of all BBBMIs, p < 0.001 vs. STEMI), followed by STEMI (6.7%), STDMI (4.4%), and other ECG acute myocardial infarction (2.3%). The risk of CS development was similar in patients with left bundle branch block (LBBB) (13.3%) and right bundle branch block (RBBB) (11.2%). The one-year mortality was highest among RBBBMI patients (66.7%, p < 0.001), followed by LBBBMI (48.6%), other ECG (47.1%), STEMI (41.7%), and STDMI patients (38.1%). Conclusions. RBBB on admission ECG is associated with the highest risk of CS development, frequent left main coronary artery affection, and unsuccessful revascularization. It is also an independent predictor of one-year mortality.
ER -
JAKL, Martin, Josef STASEK, Petr KALA, Richard ROKYTA, Jan KAŇOVSKÝ, Tomáš ONDRÚŠ, Milan HROMADKA and Petr WIDIMSKY. Acute myocardial infarction complicated by shock: outcome analysis based on initial electrocardiogram. \textit{SCANDINAVIAN CARDIOVASCULAR JOURNAL}. PO BOX 12 POSTHUSET, NO-0051 OSLO, NORWA: TAYLOR \&{} FRANCIS AS, 2014, vol.~48, No~1, p.~13-19. ISSN~1401-7431. Available from: https://dx.doi.org/10.3109/14017431.2013.865074.
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